Clark, Katherine R

Clark, Katherine R is an individual health care provider with primary practice located at 7500 Mercy Rd , Omaha NE 68124-2319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Clark, Katherine R can be contacted via phone (402) 398-6014.

Contact Information

Primary practice address
7500 Mercy Rd Omaha NE 68124-2319
Phone: (402) 398-6014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 111182 Nebraska

Profile Details

NPI number 1548570484
LBN Legal business name Clark, Katherine R
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2010
Last updated Sep 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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